UCSF GI fellows participate in clinical rotations on all three UCSF campuses. The GI service at each hospital provides consultative care to hospital inpatients and offers consultative appointments and endoscopic procedures to outpatients.
At the Parnassus campus, gastroenterology and hepatology services are separated and the Liver Transplant program operates its own inpatient service. At Zuckerberg San Francisco General and the San Francisco VA Medical Center, the gastroenterology and hepatology services are united.
In the first year, GI fellows spend 4 months each on the GI services at UCSF Parnassus, Zuckerberg San Francisco General and the San Francisco VA Medical Center. In subsequent years, fellows spend 2 months on the Liver Transplant service and have the opportunity to participate in a number of elective rotations.
UCSF Parnassus/Mount Zion
Clinical rotations at the UCSF/Mount Zion Medical Center expose fellows to the management of complex GI and liver problems occurring in a tertiary care referral population. Unique learning opportunities afforded the fellow at UCSF Parnassus/Mount Zion include required rotations that involve the UCSF Center for Colitis and Crohn’s Disease, Familial/Hereditary Gastrointestinal Cancer Prevention (cancer genetics/inherited disorders clinic), Celiac Disease Center, the Liver Transplant Program, Advanced Endoscopy and Endoscopic Ultrasound, Center for Gastrointestinal Motility and Secretion, and Intestinal Failure Program. On an elective basis, fellows also can engage in clinical work at the Osher Center for Integrative Medicine, the Center for Pelvic Physiology, the Women’s Health Center and Center for Colorectal Surgery.
Zuckerberg San Francisco General Hospital
ZSFG exposes the GI fellow to complex GI and liver problems in a municipal hospital setting. SFGH patients are an underserved, racially diverse group with a high percentage of immigrants from Mexico, Central and South America, Southeast Asia and Eastern Europe. SFGH is the only Level 1 Trauma Center in San Francisco; it is also a center of excellence for the care of AIDS. GI fellows rotating at SFGH become facile with the management of GI bleeding, acute and chronic liver disease and its complications, blunt and penetrating GI trauma, foreign body ingestions, AIDS-related GI and liver problems, biliary tract disease, and infections endemic in the developing world. Instruction in advanced endoscopy (ERCP, EUS, balloon enteroscopy), capsule endoscopy and motility/manometry are all part of the standard GI rotation.
San Francisco VA Medical Center
The San Francisco VA Medical Center (SFVAMC) exposes GI fellows to tertiary GI and liver care for U.S. military veterans from all over Northern and Central California and Northern Nevada. The population served is diverse, including a number of Iraq and Afghanistan War veterans. GI fellows participate in the diagnosis and treatment of GI and liver diseases in an integrated and technically advanced setting. GI fellows at the SFVAMC have extensive exposure to EUS and other advanced endoscopic procedures, and provide state-of-the art care for viral hepatitis and chronic liver disease. They also have the opportunity to participate in tele-medicine clinics, during which SFVAMC specialists provide care to patients at distant VA sites.